Comprehensive and appropriate development for effective results

“Reduction in Maternal Mortality in deprived regions of the world will depend on child education for sexual and reproductive health with rights (SRHR), including cultural change”

A publication in the Lancet from USAIDS (Lancet Commissions) provides Key recommendations (published on line, 25th June 2015) www.the lancet.com

•Get serious about HIV prevention—including combination prevention—and continue the expansion of access to treatment, while also working to address structural determinants of health that put people at risk• Forge new paths to uphold human rights and address criminalisation, stigma, and discrimination using practical approaches to change laws, policies, and public attitudes that violate human rights• Urgently ramp up and fully fund AIDS eﬀorts eﬃciently, and emphasise sustainability; the next 5 years present a window of opportunity to scale up the AIDS response to end AIDS as a public health problem by 2030; failing to do so, and to continue the already signiﬁcant eﬀorts, will increase the number of deaths and new HIV infections by 2020• Demand robust accountability, transparency, and better data; this relies on fresh processes and mechanisms to enable more transparent data review, improve research on high-risk populations, and link data to policies and programmes• Reinforce and renew the leadership and engagement of people living with HIV, strengthening and expanding their decision-making roles in policy design, implementation, and evaluation, and invest in activism as a global public good• Invest in research and innovation in all facets of the AIDS response; an eﬀective vaccine and a cure remain priorities, and others include epidemiological studies of high-risk populations and hot spots, socio-behavioural research, implementation research, and country-speciﬁc research on how services are delivered across health care• Promote more inclusive, coherent, and accountable AIDS and health governance; establish a multi-stakeholder, multi sector platform to address determinants of health.